Clinical Efficacy of Double Row Anchor Suture Bridge and Plate Fixation in the Treatment of Humerus Greater Tubercle Fracture
Objective To compare the clinical efficacy of double row anchor suture bridge(DRA-SB)and plate fix-ation(PF)in the treatment of humerus greater tubercle(HGT)fracture.Methods The clinical data of 48 patients with HGT fracture who underwent surgical treatment were retrospectively analyzed,and the patients were divided into DRA-SB group(n=22)and PF group(n=26)according to the different surgical method.The DRA-SB group was fixed by su-ture bridge with internal row anchors and external row anchors,and the PF group was fixed by proximal humerus locking plate.The HGT displacement,fracture healing and complications were evaluated based on imageological examination and clinical function,the resting pain and activity pain were assessed by visual analogue scale(VAS),the shoulder function was assessed by Amecican shoulder and elbow surgeons scale(ASES),and maximum range of motion(ROM)was meas-ured by a protractor.Results There were no significant differences in bone healing time,hospitalization time and time to return to daily life after surgery between the two groups(all P＞0.05).The incision length of patients in DRA-SB group was significantly shorter than that of PF group(P＜0.05);DRA-SB group was superior to PF group in shortening sur-gery time and reducing intraoperative blood loss(all P＜0.05);the postoperative HGT displacement increased in DRA-SB group compared to PF group(P＜0.05).There was no significant difference in resting pain VAS,activity pain VAS of shoulder joint and shoulder function ASES be-tween the two groups before surgery(all P＞0.05);at 6 months after surgery,resting pain VAS,activity pain VAS of shoulder joint and shoulder function ASES in the two groups were significantly better than those before surgery(all P＜0.05),there was no significant difference in resting pain VAS and active pain VAS between the two groups after surgery(all P＞0.05),while the shoulder function ASES was significantly higher in DRA-SB group than in PF group(P＜0.05),the maximum ROM in DRA-SB group was better than that in PF group during flexion and abduction(P＜0.05).Conclusion Both DRA-SB and PF fixation are effective methods for the treatment of HGT fracture,but DRA-SB is a relatively good surgical method with high clinical acceptance because of its advantages in surgical time,surgical trau-ma and postoperative complications,and avoids secondary surgical removal.
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